NPIMap

Organization Active NPI

Sisira Ranasinghe M.D., Inc.

Doing business as Surgcyte

  • Clinical Medical Laboratory
  • Fort Wayne, IN
National Provider Identifier
1164644670
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
291U230900 Issued in IN
Legal business name
SISIRA RANASINGHE M.D., INC.
Doing business as
Surgcyte
Practice address
228D, East Collins Road
Fort Wayne, IN 46825-5394
Phone
(260) 471-7675
Fax
(260) 471-0701
NPI assigned
May 3, 2007
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sisira Ranasinghe, M.D.NPI 1245233881
Title
Laboratory Director
Phone
(260) 471-7675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 291U230900 IN Primary

Addresses

Primary practice location

228D, East Collins Road
Fort Wayne, IN 46825-5394

Mailing address

228D, East Collins Road
Fort Wayne, IN 46825-5394
Phone (260) 471-7675

Other identifiers 2

IdentifierTypeStateIssuer
15D0966899OtherINCLIA LABORATORY NUMBER
200299150AMedicaidIN

Other names 1

  • SURGCYTE Doing business as

National Provider Directory

National Provider Directory

Locations

228 E Collins Rd
Ste D
Fort Wayne, IN 46825
Phone (219) 471-7675

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1164644670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228D, EAST COLLINS ROAD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255394",
            "telephone_number": "260-471-7675",
            "fax_number": "260-471-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228D, EAST COLLINS ROAD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255394",
            "telephone_number": "260-471-7675",
            "fax_number": "260-471-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISIRA RANASINGHE M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "RANASINGHE",
        "authorized_official_first_name": "SISIRA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "260-471-7675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "291U230900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LABORATORY NUMBER",
            "identifier": "15D0966899",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200299150A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURGCYTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.